What is the age of the person who would be the primary caregiver for an adopted Scottie? *

Under 21

21-25

26-55

55-75

Over 75

Do you own, or rent, your place of residence? *

Own

Rent

I have discussed the potential to adopt a rescue Scottie with other family members and we all understand the time, energy, and financial obligations involved. *

Yes

No

If you are making this application on behalf of someone else, please explain the circumstances. *

What pets have you previously owned? Why are they no longer living with you (what happened to them)? *

Scottish Terrier Rescue of Florida

Adoption Application

I understand that I will be asked to make a donation and/or to pay an adoption fee to help defray the medical and other expenses associated with running the rescue program from which my Scottie would be adopted. *

Yes

No

I agree that you may contact my veterinarian and personal references. *

Yes

No

Were any of your previous Scotties show dogs? *

Yes

No

Does not apply

How many hours per day would your Scottie be home alone? *

Were any of your previous Scotties rescue dogs? *

Yes

No

Does not apply

If your form submits successfully the form will disappear from the screen;

If you ever surrendered a pet to a rescue group or shelter please explain the circumstances: *

Where would your Scottie be housed at night? *

Who cares for your pets while your are away from home or on vacation? *

Have you ever owned Scotties before? *

Yes

No

Email: *

First and Last Name: *

Were any of your previous Scotties pets/companions? *

Yes

No

Does not apply

Work Phone Number

Re-Enter Email: *

Please list all other pets of any type that currently live in your home. Please include the number and type, breed, age, sex, and whether they are spayed/neutered. *

Have you ever surrendered pets to a rescue group or shelter? *

Yes

No

Personal Reference #1 (please list the name, address, and telephone number of someone who knows you well and can attest to how you care for pets). *

Would you consider adopting a Scottie mix? *

Yes

No

Personal Reference #2 (please list the name, address, and telephone number of someone who knows you well and can attest to how you care for pets). *

Please add any comments or questions you may have here. *

How did you hear about STROF? *

Home Phone Number *

Would you consider adopting two Scotties that cannot be separated (a "bonded pair")? *

Yes

No

Veterinarian Reference. Please list the name, address, and telephone number (with area code) of the veterinarian who cares for your current (or previous)pets. *

Would you consider adopting a special needs Scottie (blind, deaf, with a medical condition that requires daily attention, missing a leg, etc.)? *

Yes

No

Zip Code *

City and State *

How long have you lived at this address? *

Is there a pool, pond, or other open body of water where you live? *

Yes

No

Some Scotties are larger and may weigh 30 pounds or more. Is a Scottie's weight or size a consideration for you? *

Yes

No

Revised 5-30-17

Online Adoption Application

County *

How would you prefer that we contact you? *

Home phone

Cell phone

Work phone

Email

Would you consider adopting a terminally ill dog for hospice care? *

Yes

No

Tell us about your previous Scotties, including any you own now. If you've never owned a Scottie, why are you attracted to this breed? *

To be considered to adopt or foster a rescue Scottie from Scottish Terrier Rescue of Florida please complete

all sections of this online application as your first step. (Please do not skip any sections; if a question

does not apply to you please note "not applicable" for that answer.)

(We do not adopt our rescue Scotties outside the state of Florida.)

When you have completed the application click the SUBMIT button to send it to us;if successful you will be redirected to our Adopt page.(If your application does not immediately submit when you click the button please check to be sure youhave filled in every field and noted "not applicable" where it applies.)

We appreciate your interest in "Saving Scotties in the Sunshine State"!

Where would your Scottie be housed during the day? *

If you have a fenced yard where you live, describe it (fence type, size, height, etc.) Note: An unfenced yard does not automatically disqualify an applicant, however we do not place dogs in homes that have only an elecric fence.) *

My typed signature below indicates my full understanding of the above statements, and of the accuracy of all of the information contained in this application. TYPE YOUR FULL NAME HERE AS YOUR ELECTRONIC SIGNATURE. *

I affirm that all the information contained on this application is true and correct. *

Yes

No

Street Address *

Would a rescue Scottie come into frequent contact with children? *

Yes

No

Cell Phone Number

If you selected any of the choices in the previous question, please provide more information about your experience in working with dogs of that type and your willingness to assume the responsibility of care for a special Scottie: *

Would you consider adopting a senior Scottie (8 years of age or older)? *

Yes

No

If you do not have a fenced yard where you live, how would you exercise your Scottie? *

Would you prefer to adopt a female Scottie? *

Yes

No

No preference

Do you have minor children living in your home? *

Yes

No

If you will be leash walking your dog, are you comfortable with handling a stronger Scottie who may pull on the leash?

Yes

No

Date *

If you have a pool, pond, or other open body of water on your property please describe it and explain the precautions you would take to prevent a rescue Scottie from having unsupervised access to the area. (Scotties, in general, do not swim well!) *

If a rescue Scottie would be in frequent contact with children, either in your home or under other circumstances, please list the ages of the children. *